| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
1,744 |
1,723 |
$381K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,439 |
1,420 |
$154K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
2,139 |
1,476 |
$152K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,449 |
2,253 |
$131K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
410 |
400 |
$32K |
| 94060 |
|
673 |
637 |
$27K |
| 95117 |
|
2,144 |
1,478 |
$21K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
208 |
207 |
$17K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
15 |
14 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
14 |
14 |
$136.70 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
14 |
14 |
$3.13 |